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Note 5 - Acquisitions, Disposal and Discontinued Operations (Details Textual) $ in Thousands		1 Months Ended	3 Months Ended
	Nov. 18, 2022 USD ($)	Nov. 30, 2022 USD ($)	Mar. 31, 2023 USD ($)	Mar. 31, 2022 USD ($) a	Jul. 29, 2022 USD ($)	Oct. 01, 2021
Insurance Commissions and Fees			$ 26,389	$ 22,456
TEXAS
Area of Real Estate Property (Acre) | a				192
P W S C [Member]
Earnout Payment Required, Minimum Percentage of Closing EBITDA					103.00%
Earnout Payment, Ratio of EBITDA in Excess of 103% of Closing EBITDA					5
Insurance Commissions and Fees				$ 2,100
Receivables from Customers					$ 700
Income (Loss) from Continuing Operations before Income Taxes, Attributable to Controlling Interest				(600)
VA Lafayette [Member]
Discontinued Operation, Income (Loss) from Discontinued Operation, before Income Tax			100	$ 1,200
P W S C [Member]
Noncontrolling Interest, Ownership Percentage by Parent					80.00%
P W S C [Member] | President [Member]
Noncontrolling Interest, Ownership Percentage by Noncontrolling Owners					20.00%
CSuite Acquisition, LLC [Member]
Business Acquisition, Percentage of Voting Interests Acquired						100.00%
Payments to Acquire Businesses, Gross		$ 8,500
Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Consideration Transferred			100
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High			$ 3,600
Secure Nursing Service Inc [Member]
Payments to Acquire Businesses, Gross	$ 11,500

X

- Definition

Represents earnout payment amount as ratio of EBITDA in excess of 103% of closing EBITDA.

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Amount of income (loss) from continuing operations, including income (loss) from equity method investments, attributable to controlling interest, before deduction of income tax expense (benefit).

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Percentage of voting equity interests acquired at the acquisition date in the business combination.

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Amount before tax of income (loss) from a discontinued operation. Includes, but is not limited to, the income (loss) from operations during the phase-out period, gain (loss) on disposal, gain (loss) for reversal of write-down (write-down) to fair value, less cost to sell, and adjustments to a prior period gain (loss) on disposal.

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The cash outflow associated with the acquisition of business during the period. The cash portion only of the acquisition price.

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